| { | |
| "06903184-b129-7ac1-8000-c2df123b549f.jpg": { | |
| "Facility_ZIP": "95076", | |
| "Patient_DOB": "1958-09-17", | |
| "Patient_Address": "535 AUTO CENTER DR,", | |
| "Patient_State": "CA", | |
| "Patient_City": "Watsonville,", | |
| "Facility_City": "Watsonville", | |
| "Medicare_Insurance_Number": "98340126D", | |
| "Patient_Sex": "M", | |
| "Medicaid_Insurance_Number": "98340126D", | |
| "Patient_ZIP": "95076", | |
| "Patient_First_Name": "Rafael", | |
| "Facility_State": "CA", | |
| "mrn": "214136", | |
| "Patient_Last_Name": "Becerra,", | |
| "Facility_Name": "Watsonville Post Acute Center", | |
| "Facility_Address": "525 Auto Center Drive,", | |
| "hospital_name": "Watsonville Post Acute Center" | |
| }, | |
| "0691c0a8-7914-730b-8000-a5af04ea754a.jpg": { | |
| "Medicare_Insurance_Number": "6H11D94TH96", | |
| "hospital_name": "GARDENA MEMORIAL HOSPITAL", | |
| "ssn": "ALIGNHEALTH", | |
| "Patient_Last_Name": "AGUILAR", | |
| "Patient_DOB": "1941-09-20", | |
| "Facility_Name": "Gardena Convalescent Center LLC", | |
| "Patient_ZIP": "90011", | |
| "Facility_City": "Gardena", | |
| "Facility_State": "CA", | |
| "phone_number": "(323) 396-4154", | |
| "Facility_ZIP": "90247-3097", | |
| "Patient_State": "CA", | |
| "Patient_First_Name": "CASTALIA", | |
| "Medicaid_Insurance_Number": "94592739E", | |
| "Facility_Address": "14819 S Vermont Ave. Gardena, CA 90247-3097", | |
| "Patient_Address": "228 E 47TH ST, Los Angeles, CA, 90011", | |
| "Patient_City": "Los Angeles", | |
| "Patient_Sex": "F", | |
| "mrn": "9901" | |
| }, | |
| "06903183-f495-7b85-8000-e22d9197cc40.jpg": { | |
| "hospital_name": "AGUILAR, CASTALIA M.(9901)", | |
| "Patient_First_Name": "CASTALIA", | |
| "Facility_Name": "AGUILAR, CASTALIA M.(9901)", | |
| "Patient_Last_Name": "AGUILAR" | |
| }, | |
| "069021d1-20cd-7ac2-8000-b4a76ae2db20.jpg": { | |
| "Facility_Name": "Coronado Ridge Skilled Nursing & Rehabilitation Center", | |
| "Patient_Sex": "M", | |
| "hospital_name": "UMC of Southern Nevada", | |
| "Facility_ZIP": "89052", | |
| "Patient_DOB": "1948-03-11", | |
| "Patient_Address": "3900 W Oakey BLVD 116, Las Vegas, NV, 89102", | |
| "Patient_City": "Las Vegas,", | |
| "Patient_First_Name": "Paul", | |
| "Facility_Address": "2855 W Horizon Ridge Pkwy", | |
| "phone_number": "(702) 430-3790", | |
| "Medicare_Insurance_Number": "7W77FF6TJ43", | |
| "Facility_State": "NV", | |
| "Patient_State": "NV", | |
| "Patient_Last_Name": "Balfour", | |
| "Facility_City": "Henderson" | |
| }, | |
| "0690341e-f9d2-7e2e-8000-e53f0801a3a5.jpg": { | |
| "Patient_Sex": "F", | |
| "Facility_State": "CA", | |
| "Patient_City": "Marysville,", | |
| "Facility_Address": "1220 Plumas Street,", | |
| "Facility_ZIP": "95991", | |
| "Patient_Last_Name": "Barboza,", | |
| "hospital_name": "Yuba City Post Acute", | |
| "Facility_Name": "Yuba City Post Acute", | |
| "phone_number": "(530) 844-6074", | |
| "Patient_Address": "916 6TH ST, Marysville, CA, 95901", | |
| "Facility_City": "Yuba City", | |
| "Patient_DOB": "1951-01-01", | |
| "Patient_First_Name": "Irma", | |
| "Medicare_Insurance_Number": "2E82YH3WK05", | |
| "Patient_ZIP": "95901", | |
| "Patient_State": "CA" | |
| }, | |
| "0690487d-ae19-74b2-8000-88c1a1ccd302.jpg": { | |
| "Patient_Address": "500 NECACIO WAY", | |
| "Patient_State": "CA", | |
| "Patient_First_Name": "LOIS", | |
| "phone_number": "(831) 423-5124", | |
| "Patient_City": "Soquel,", | |
| "Patient_ZIP": "95073", | |
| "Patient_Last_Name": "POLSON" | |
| }, | |
| "06900bf2-8f43-7b64-8000-9ad88628c6bc.jpg": { | |
| "Facility_Name": "Community General Hospital", | |
| "hospital_name": "Community General Hospital", | |
| "Patient_City": "Voorhes,", | |
| "Patient_Last_Name": "CRUISE", | |
| "Facility_State": "NJ", | |
| "Patient_First_Name": "TOM", | |
| "Facility_Address": "900 North Second Street", | |
| "Facility_City": "Voorhes,", | |
| "Patient_Sex": "M", | |
| "Patient_DOB": "1982-08-12", | |
| "Patient_ZIP": "02345", | |
| "Facility_ZIP": "02345", | |
| "Patient_Address": "900 North Second Street", | |
| "Patient_State": "NJ" | |
| }, | |
| "06903391-3ac2-7db2-8000-ac774472549a.jpg": { | |
| "hospital_name": "Green Valley Health and Wellness Suites", | |
| "Facility_State": "NV", | |
| "Facility_Address": "2965 Wigwam Parkway,", | |
| "Facility_ZIP": "890742870", | |
| "Facility_Name": "Green Valley Health and Wellness Suites", | |
| "Facility_City": "Henderson,", | |
| "Patient_Last_Name": "KALT", | |
| "Patient_First_Name": "DAVID", | |
| "mrn": "300596-01" | |
| }, | |
| "069033d7-ab47-78e6-8000-ca456afe7502.jpg": { | |
| "Patient_Last_Name": "Masi,", | |
| "Patient_First_Name": "Rose" | |
| }, | |
| "0690487d-ae18-7dbc-8000-c6cfcc25cb61.jpg": { | |
| "Facility_ZIP": "95010", | |
| "Medicare_Insurance_Number": "9F07RH6QD41", | |
| "Patient_ZIP": "95060", | |
| "Facility_Address": "1935 Wharf Road", | |
| "Patient_DOB": "1937-02-17", | |
| "Facility_City": "Capitola", | |
| "hospital_name": "DOMINICAN HOSPITAL", | |
| "Patient_City": "SANTA CRUZ", | |
| "Facility_State": "CA", | |
| "Patient_Sex": "M", | |
| "Patient_State": "CA", | |
| "Medicaid_Insurance_Number": "94869731C", | |
| "mrn": "11102", | |
| "Facility_Name": "Pacific Coast Manor - SNF", | |
| "Patient_Address": "134 DAKOTA AVE APT 210,", | |
| "Patient_First_Name": "JAMES", | |
| "phone_number": "(831) 239-0497", | |
| "Patient_Last_Name": "GURLEY" | |
| }, | |
| "0690487d-ae19-72f8-8000-f39e14a90028.jpg": { | |
| "Patient_First_Name": "JANET", | |
| "Patient_Last_Name": "GEYER" | |
| }, | |
| "0690487d-ae19-734d-8000-f5ea6e231539.jpg": { | |
| "Patient_City": "Aptos,", | |
| "Facility_Name": "Pacific Coast Manor - SNF", | |
| "hospital_name": "DOMINICAN HOSPITAL", | |
| "Patient_State": "CA", | |
| "Medicare_Insurance_Number": "1TJ8MX8MK24", | |
| "Facility_City": "Capitola,", | |
| "Facility_ZIP": "95010", | |
| "Medicaid_Insurance_Number": "98930793H", | |
| "Patient_Sex": "M", | |
| "Patient_First_Name": "WALTER", | |
| "Patient_Address": "744 BONITA DR, APTOS, CA, 95003", | |
| "Patient_DOB": "1930-01-01", | |
| "Facility_Address": "1935 Wharf Road", | |
| "Patient_ZIP": "95003", | |
| "Patient_Last_Name": "RIMPLE", | |
| "Facility_State": "CA", | |
| "phone_number": "(831) 332-2219" | |
| }, | |
| "06915f66-52ef-7ec3-8000-dd3f0b26ef6b.jpg": { | |
| "Facility_Name": "Spring Hill Manor Convalescent Hospital", | |
| "Social_Security_Number": "null", | |
| "Patient_Last_Name": "Aebersold,", | |
| "Patient_DOB": "1941-08-05", | |
| "Medicaid_Insurance_Number": "93314705G", | |
| "Patient_Sex": "M", | |
| "ssn": "null", | |
| "hospital_name": "Spring Hill Manor Convalescent Hospital", | |
| "Patient_First_Name": "Ray", | |
| "mrn": "4555", | |
| "Medicare_Insurance_Number": "2CW5N86FR59", | |
| "phone_number": "(530) 559-7028", | |
| "Patient_City": "Grass Valley,", | |
| "Patient_Address": "10192 Forest Springs Dr., Grass Valley, CA, 95945", | |
| "Patient_State": "CA", | |
| "Patient_ZIP": "95945" | |
| } | |
| } |